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Technical 99211

  1. Angry Technical 99211
    Medical Coding Books
    I have a situation that I do not agree with and was seeking some advice. Here is the example for billing:
    99213 pro charge
    99211 tech charge
    94760 tech charge (pulse ox)

    We are a provider based billing hospital, and this above case was seen in an outpatient office. I was instructed to put a 25 modifier on the technical 99211 not the pro 99213 because the pulse ox is a tech code.

    I don't agree with this because the way I was taught when I first got my cpc that that no modifiers go on the tech charges. This could have changed, and Im fine with that, but I need some sort of legimate documentation to support this change.

    What do you think?

  2. #2
    Columbia, MO
    If the pulse ox is a status S or T procedure then yes the facility fee needs a 25 modifier

    Debra A. Mitchell, MSPH, CPC-H

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